ʻO Rhabdomyolysis kahi huaʻōlelo maʻamau e hōʻike ana i ka luku ʻia o nāʻiʻo muscle. Nui nā kumu no kēia rhabdomyolysis, ʻoi aku ka hopena a ʻoi aku paha o nā koʻikoʻi ma muli o ke kumu o ka maʻi.

Hoʻokomo ʻia ka huaʻōlelo rhabdomyolysis i ka hope --lyse ʻo ia hoʻi ka luku, ʻo ia ka huaʻōlelo rhabdomyo- e kuhikuhi ana i nā mākala koʻi iwi, ʻo ia hoʻi nā mākala āpau o ke kino o ke kanaka me ke koe o ka puʻuwai puʻuwai (myocardium) a me nā mākala maʻalahi (hoʻohana ʻia no nā mākau kaʻa uila makemake ʻole e like me ka mākau motika ʻōpū a i ʻole nā ​​kīʻaha koko).

Ke hoʻopau ʻia nā hunaola mākala, hoʻokuʻu ʻia nā mole i loko o ke koko. ʻO kekahi o kēia kahi enzyme e ola wale ana i nā hunaola mākala. ʻO ia ka phosphokinase creatine, i kapa ʻia ʻoi aku ka maʻalahi ma ke ʻano he CPK. ʻIke ʻia kēia mole i ka hana o kēia manawa. ʻO ke kiʻekiʻena kiʻekiʻe, ʻo ka ʻoi aku ka nui o ka rhabdomyolysis.

ʻO nā kumu o ka rhabdomyolysis ʻokoʻa loa. E hoʻomaka hou mākou ma aneʻi i kahi papa inoa pau ʻole o nā kumu maʻamau o ka rhabdomyolysis:

Trauma / kaohi

ʻO ke kaohi ʻana o kahi lālā, e laʻa me ka syndrome syndrome, kahi e paʻa ai ke kanaka ma lalo o kahi kaʻa a i ʻole ma lalo o ka ʻōpala o kahi ōlaʻi, e hoʻoulu ai i ka rhabdomyolysis i pinepine pinepine ʻia.

Hoʻolālā ka immobilization hoʻolōʻihi i ke kaohi ʻana o nā mākala e hiki ai ke alakaʻi i ka rhabdomyolysis (ka nalowale o ka ʻike, ke ʻoki lōʻihi, a pēlā aku.).

Ka hōʻemi nui ʻana o nā mākala

• Pilikia Epileptic
• ʻO ka hana haʻuki nui (marathon, ultra-trail)

Infections

• Viral: influenza
• Iwi: legionellosis, tularemia
• Parasitic: malaria, trichinellosis

Fever fever

• ʻO ka maʻi maʻi maʻi Neuroleptic
• Ka hahana
• Hyperthermia malignant

ʻawahia

• Alcohol
• ʻO Cocaine
• Heroin
• Hoʻomahameʻa

'Oʻoʻo

• Nā Neuroleptics
• Nā ʻākala

Hoʻomākaukau

• Polymyosite
• Dermatomyositis

Nā Genetics

I kekahi mau hihia, maopopo leʻa ke ʻano, no ka laʻana i ka wā e haki ai ka lālā a i ʻole kahi koma lōʻihi.

I nā hihia ʻē aʻe, paʻakikī paha ka ʻike ʻana i nā hōʻailona o ka luku ʻana i nā mākala. Hiki i ka ʻeha puʻupuʻu ke ʻeha i ke ʻano ʻāʻī a i ʻole ka ʻehaʻeha ma ka palpation. Aia paha he edema musele e hiki ai ke alakaʻi i ka maʻi maʻi maʻi. I kekahi manawa ʻo ka hōʻailona muscle wale nō ka manaʻo o ka nāwaliwali o nā mākala.

I kekahi manawa ʻo ka hōʻailona no ke kauka he hoʻololi i ke kala o ka mimi. I ka ʻoiaʻiʻo, ua hoʻokuʻu ʻia ka myoglobin e nā hunaola mākala i ka mimi ʻulaʻula e huli ana i ke kī (mai ka Ice-Tea a Coca-Cola).

Hoʻokumu ʻia kahi kuhi o ka rhabdomyolysis e kahi hoʻokolohua CPK. Kamaʻilio mākou e pili ana i ka rhabdomyolysis inā he ʻelima mau manawa ka kiʻekiʻe o ka CPK ma mua o ka maʻamau.

ʻO ka pilikia nui o ka rhabdomyolysis ka holomua o ke koloka. ʻO kēia multifactorial akā ʻike mākou i ka ʻona o myoglobin a me kāna hōʻiliʻili ʻana i nā tubula renal e alakaʻi i kahi kahakaha i ke kahe o ka mimi. Hiki ke hele pū me ka hōʻino hōʻino me nā maʻi metabolic ʻē aʻe e like me hyperkalaemia. ʻO Hyperkalaemia ka hoʻonui ʻana o ka potassium i ke koko. Hiki i kēia pilikia ke alakaʻi i ka make inā ʻaʻole i hoʻihoʻi ʻia ka potassium i nā pae maʻamau i ke koko i ka wā hiki. Pono kēia i ka hoʻohana ʻana o ka dialysis.

ʻO ka hopena ʻē aʻe, a mākou i ʻōlelo aʻe ai ma mua, ʻo ia ka compart Syndrome. He tensioning ia o nā compartments muscular. Hōʻike ʻia kēia e ka ʻeha nui loa a me ka edema ʻeha o nā mākala. ʻO ka decompression ʻokiʻoki i kapa ʻia he "hoʻokuʻu aponeurotomy" pono e hana ʻia i ka wā hiki wawe, i ka manawa e hoʻokūpaʻa ʻia ai ka syndrome syndrome.

E like me kā mākou i ʻike ai ma mua, he ʻokoʻa loa nā kumu o ka rhabdomyolysis. Pili ka lāʻau i ke kumu.

Ma ka laulā, ʻo ka mālama ʻana i ka rhabdomyolysis e pale i nā pilikia.

I mea e hōʻalo ai i ka hōʻino ʻole ʻana o ka puʻuwai, pono e mālama pono ʻia ka rehydration ʻoiai ʻo ka make wai kahi kūlana pilikia no nā ʻōpala o ka puʻuwai. I kahi kūlana koʻikoʻi e pono e nānā pinepine i ka pāhare potassium i loko o ke koko i loko o nā palena maʻamau. ʻO ka mea hope loa, ʻo ka nānā ʻana i ka ʻeha mauʻu e hiki ai ke hōʻike i ka syndrome compart.

I ka hopena, hiki iā mākou ke kikoʻī aia he rhabdomyolysis a me rhabdomyolysis. Rhabdomyolysis huikau ma ke kaohi ʻana o kahi lālā, no ka laʻana, hiki i ka make. I ka hoʻohālikelike ʻana, ʻo ka rhabdomyolysis i ka wā o ka maʻi palū he "epiphenia" wale nō ia e hopohopo ʻole ai kekahi. ʻO nā maʻi e pili ana i ka rhabdomyolysis e mau ana ka maʻamau, ʻo ka hoʻoikaika kino nui ka mea maʻamau. E noʻonoʻo mau e pili ana ia a lawe i ka rhabdomyolysis i mua o ka ʻeha ʻeha mau a i ʻole ka pena ʻulaʻula ʻulaʻula o ka mimi.